Individual provider · Type 1 NPI
Domique Williams, MS, WHNP
Nurse Practitioner · Mount Vernon, NY
Practice location
105 Stevens Ave, Suite 506
Mount Vernon, NY 10550-2686
Mailing address
105 Stevens Avenue, Suite 506
Mount Vernon, NY 10550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 607735-1 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1639624810
Domique Williams, MS, WHNP's National Provider Identifier is 1639624810, issued on Aug 17, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, NY. The record was last updated on Apr 20, 2017.